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Tuberculosis conspires with HIV to make the disease worse

In Africa, patients and doctors battle the double whammy of AIDS and TB

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Violet Mwinuka, a volunteer with the Endola Catholic Diocese homecare project, cares for a patient with TB and AIDS in Ndola, Zambia. [Link to this slide]
© Gideon Mendel/CORBIS
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Public health authorities are increasingly worried about the rising number of deaths from tuberculosis, especially among people who are HIV-positive. But services for the two diseases have generally been segregated....[More]

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At Helen Joseph Hospital in Johannesburg, all suspected TB patients are seen in this special clinic where medical professionals have expertise in treating TB. The clinic sees more than 300 patients a week and lines are often long....[More]

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At Helen Joseph Hospital, a special room was built in the TB focal point clinic to take sputum (phlegm) samples, which can be tested for the bacterium that causes tuberculosis....[More]

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The special sputum induction room at Helen Joseph Hospital has a ventilation system that sucks air out of the space and ultraviolet lights that help kill tuberculosis bacteria....[More]

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A nurse at Helen Joseph Hospital's year-old TB focal point clinic describes how to produce a sputum (phlegm) sample for testing. [Link to this slide]
Nicole Itano
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At Helen Joseph Hospital, doctors have helped improve the accuracy of TB sputum tests by using a hypertonic saline solution. When inhaled, it irritates the lungs and causes patients to produce more phlegm....[More]

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This mechanism traps the sputum for testing. [Link to this slide]
Nicole Itano
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Dr. Johnson Mahlangu heads the TB focal point at Helen Joseph Hospital in Johannesburg. Most patients are treated by nurses, but doctors see special cases as well as those patients who have tested negative for TB but nonetheless are suspected of infection....[More]

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Dr. Johnson Mahlangu, head of the TB focal point at Helen Joseph Hospital in Johannesburg, demonstrates how a sputum sample is taken. [Link to this slide]
Nicole Itano
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Matiesetso Pahlabaki and her husband Mothakhi, who is severely ill with TB, live in the remote village of Masaleng, Lesotho. Matiesetso found out that she was HIV-positive when she was pregnant....[More]

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Nomphilo Mazuza battled multi-drug-resistant tuberculosis (MDR TB) and AIDS, but antiretroviral treatment from the Siyaphila La (We are Living Here) HIV treatment project in South Africa gave her back her health....[More]

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